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Hello,

Is anyone willing to share or provide some pointers on their plan to be in compliance with the Joint Commission standard:  "The hospital has policies and procedures that establish which outpatient departments, if any, are not required to have a registered nurse present. The policies and procedures are as follows:
_ Establish criteria that such outpatient departments need to meet, taking into account the types of services delivered, the general level of acuity of patients served by the department, and established standards of practice for the services delivered
_ Describe alternative staffing plans
_ Approved by the director of nursing
_ Reviewed at least once every three years."

Our outpatient clinics include services that do not have RNs, such as an eye center, PT and OT, dental and psychiatry.  Wondering if others have already addresses this.

Thanks for your help

Heather

------------------------------
Heather Bogrett MSN, AMB-BC, RN
(pronouns she/her/hers)
Associate Chief Nursing Officer, Ambulatory
Cambridge Health Alliance
hbogrett@challiance.org
------------------------------

Hi Heather, 

If you don't get any new feedback here, there was a pretty robust conversation in the SIGs on this topic last year with a few examples of policies provided that you may find helpful. You should be able to access the thread here. 

https://community.aaacn.org/communities/community-home/digestviewer/viewthread?GroupId=403&MessageKey=dcb64666-c3e1-4ce0-a152-4d4845ce47a4&CommunityKey=5e18c26e-288b-46dc-a12f-f107a44a9bf1&tab=digestviewer

------------------------------
Brandy Williamson BSN RN CPN
Ambulatory Nursing Manager
Children's Healthcare-Atlanta
Atlanta GA
(404)785-8978
brandy.williamson@choa.org
------------------------------

Original Message:
Sent: 08-16-2022 19:48
From: Heather Bogrett
Subject: TJC Nursing Standard

Hello,

Is anyone willing to share or provide some pointers on their plan to be in compliance with the Joint Commission standard:  "The hospital has policies and procedures that establish which outpatient departments, if any, are not required to have a registered nurse present. The policies and procedures are as follows:
_ Establish criteria that such outpatient departments need to meet, taking into account the types of services delivered, the general level of acuity of patients served by the department, and established standards of practice for the services delivered
_ Describe alternative staffing plans
_ Approved by the director of nursing
_ Reviewed at least once every three years."

Our outpatient clinics include services that do not have RNs, such as an eye center, PT and OT, dental and psychiatry.  Wondering if others have already addresses this.

Thanks for your help

Heather

------------------------------
Heather Bogrett MSN, AMB-BC, RN
(pronouns she/her/hers)
Associate Chief Nursing Officer, Ambulatory
Cambridge Health Alliance
hbogrett@challiance.org
------------------------------

Thank you Brandy, this was very helpful!  

Has anyone finialed their policies for this standard and are willing to share?

Thanks for consdering
Heather

------------------------------
Heather Bogrett MSN, AMB-BC, RN
(pronouns she/her/hers)
Associate Chief Nursing Officer, Ambulatory
Cambridge Health Alliance
hbogrett@challiance.org
------------------------------

Original Message:
Sent: 08-18-2022 15:58
From: Brandy Williamson
Subject: TJC Nursing Standard

Hi Heather, 

If you don't get any new feedback here, there was a pretty robust conversation in the SIGs on this topic last year with a few examples of policies provided that you may find helpful. You should be able to access the thread here. 

https://community.aaacn.org/communities/community-home/digestviewer/viewthread?GroupId=403&MessageKey=dcb64666-c3e1-4ce0-a152-4d4845ce47a4&CommunityKey=5e18c26e-288b-46dc-a12f-f107a44a9bf1&tab=digestviewer

------------------------------
Brandy Williamson BSN RN CPN
Ambulatory Nursing Manager
Children's Healthcare-Atlanta
Atlanta GA
(404)785-8978
brandy.williamson@choa.org

Original Message:
Sent: 08-16-2022 19:48
From: Heather Bogrett
Subject: TJC Nursing Standard

Hello,

Is anyone willing to share or provide some pointers on their plan to be in compliance with the Joint Commission standard:  "The hospital has policies and procedures that establish which outpatient departments, if any, are not required to have a registered nurse present. The policies and procedures are as follows:
_ Establish criteria that such outpatient departments need to meet, taking into account the types of services delivered, the general level of acuity of patients served by the department, and established standards of practice for the services delivered
_ Describe alternative staffing plans
_ Approved by the director of nursing
_ Reviewed at least once every three years."

Our outpatient clinics include services that do not have RNs, such as an eye center, PT and OT, dental and psychiatry.  Wondering if others have already addresses this.

Thanks for your help

Heather

------------------------------
Heather Bogrett MSN, AMB-BC, RN
(pronouns she/her/hers)
Associate Chief Nursing Officer, Ambulatory
Cambridge Health Alliance
hbogrett@challiance.org
------------------------------